Challenges of enbloc mid-sacrectomy as redo surgery for sacral chordoma: a case report Authors Sundus Ali Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan https://orcid.org/0000-0002-4160-8317 Ahtsham Ishaq Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan Adnan Qasim Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan Muhammad Naeem Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan Muhammad Rizwan Sarwar Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan Shahzad Shams Department of Neurosurgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.9145 Keywords: Sacral chordoma, Mid-Sacrectomy, Enbloc Abstract Enbloc Sacrectomy is the procedure of choice for aggressive sacral lesions but not widely practiced in Pakistan, both by Neurosurgeons and Orthopaedic surgeons. Only one case has been mentioned in indexed local literature so far and that too not operated in Pakistan. The case of a case of a 27 year old neurologically intact male is presented. He had a huge residual mass and midline non-healing wound after two attempts at intralesional debulking and one full course of local irradiation. He presented to the Mayo Hospital, Lahore on 29th December 2021 for a redo surgery of sacral chordoma. A marginal excision was achieved utilizing posterior only approach. This case will help understanding the key steps in enbloc mid-Sacrectomy and importance of involving multidisciplinary team for ensuring adequate wound closure. Keywords: Sacral chordoma, Mid-Sacrectomy, Enbloc. Downloads Full Text Article Published 2024-03-20 How to Cite Ali, S., Ishaq, A., Qasim, A., Muhammad Naeem, Sarwar, M. R., & Shams, S. (2024). Challenges of enbloc mid-sacrectomy as redo surgery for sacral chordoma: a case report. Journal of the Pakistan Medical Association, 74(4), 794–796. https://doi.org/10.47391/JPMA.9145 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 74 No. 4 (2024): APRIL Section CASE REPORT License Copyright (c) 2024 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.